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Committee on the Effect of Climate Change on
Indoor Air Quality and Public Health
Board on Population Health and Public Health Practice

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“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
— Goethe
Advising the Nation. Improving Health.

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The National Academy of Sciences is a private, nonprofit, self-perpetuating society
of distinguished scholars engaged in scientific and engineering research, dedicated to
the furtherance of science and technology and to their use for the general welfare.
Upon the authority of the charter granted to it by the Congress in 1863, the Acad-
emy has a mandate that requires it to advise the federal government on scientific
and technical matters. Dr. Ralph J. Cicerone is president of the National Academy
of Sciences.
The National Academy of Engineering was established in 1964, under the charter
of the National Academy of Sciences, as a parallel organization of outstanding en-
gineers. It is autonomous in its administration and in the selection of its members,
sharing with the National Academy of Sciences the responsibility for advising the
federal government. The National Academy of Engineering also sponsors engineer-
ing programs aimed at meeting national needs, encourages education and research,
and recognizes the superior achievements of engineers. Dr. Charles M. Vest is presi-
dent of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of
Sciences to secure the services of eminent members of appropriate professions in
the examination of policy matters pertaining to the health of the public. The Insti-
tute acts under the responsibility given to the National Academy of Sciences by its
congressional charter to be an adviser to the federal government and, upon its own
initiative, to identify issues of medical care, research, and education. Dr. Harvey V.
Fineberg is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sci-
ences in 1916 to associate the broad community of science and technology with the
Academy’s purposes of furthering knowledge and advising the federal government.
Functioning in accordance with general policies determined by the Academy, the
Council has become the principal operating agency of both the National Academy
of Sciences and the National Academy of Engineering in providing services to the
government, the public, and the scientific and engineering communities. The Coun-
cil is administered jointly by both Academies and the Institute of Medicine. Dr.
Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of
the National Research Council.
www.national-academies.org

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Reviewers
This report has been reviewed in draft form by persons chosen for their
diverse perspectives and technical expertise in accordance with procedures
approved by the National Research Council’s Report Review Committee.
The purpose of the independent review is to provide candid and critical
comments that will assist the institution in making its published report as
sound as possible and to ensure that the report meets institutional standards
of objectivity, evidence, and responsiveness to the study charge. The review
comments and draft manuscript remain confidential to protect the integrity
of the deliberative process. We thank the following for their review of the
report:
Patricia Butterfield, Dean and Professor, Washington State University,
Spokane
Peyton Eggleston, Professor Emeritus, Pediatrics, Johns Hopkins
Children’s Center
Kristine M. Gebbie, Joan Hansen Grabe Dean (acting), Hunter-
Bellevue School of Nursing, Hunter College, City University of
New York; Professor, Flinders University School of Nursing and
Midwifery
Peggy L. Jenkins, Manager, Indoor Exposure Assessment Section,
Research Division, California Air Resources Board
Patrick Kinney, Associate Professor of Public Health, Division of
Environmental Health Sciences, Columbia University, School of
Public Health
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viii REVIEWERS
Donald Milton, Professor and Director, Maryland Institute for
Applied Environmental Health, University of Maryland
Andrew K. Persily, Leader, Indoor Air Quality and Ventilation Group,
Building Environment Division, Building and Fire Research
Laboratory, National Institute of Standards and Technology
Thomas J. Wilbanks, Corporate Fellow, Oak Ridge National Laboratory
Although the reviewers listed above have provided many constructive
comments and suggestions, they were not asked to endorse the conclusions
or recommendations, nor did they see the final draft of the report before its
release. The review of the report was overseen by Richard B. Johnston, As-
sociate Dean for Research Development, Professor of Pediatrics, University
of Colorado Denver School of Medicine, and Lynn R. Goldman, Dean, The
George Washington University School of Public Health and Health Services.
Appointed by the National Research Council and the Institute of Medicine,
they were responsible for making certain that an independent examination
of the report was carried out in accordance with institutional procedures
and that all review comments were carefully considered. Responsibility for
the final content of the report rests with the authoring committee and the
institution.

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Acknowledgments
This report could not have been prepared without the guidance and
expertise of numerous persons. Although it is not possible to mention by
name all those who contributed to the committee’s work, the commit-
tee wants to express its gratitude to a number of them for their special
contributions.
Sincere thanks go to all the participants at the public meetings con-
vened on June 7 and July 14, 2010. The intent of the workshops was to
gather information regarding issues related to climate change and public
health. The speakers, who are listed in Appendix A, gave generously of their
time and expertise to help to inform and guide the committee’s work. Many
of them also provided additional information in response to the committee’s
myriad questions.
The committee extends special thanks to the dedicated and hard-
working staff of the Institute of Medicine’s Board on Population Health
and Public Health Practice, who supported and facilitated its work. Board
Director Rose Marie Martinez helped to ensure that this report met the
highest standards of quality.
Finally, the committee members would like to thank the chair, John
D. Spengler, for his outstanding work, leadership, and dedication to this
project.
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